Active NPI
Kellsey Ann Buerge, DPT
- Physical Medicine & Rehabilitation Physician
- Margaretville, NY
National Provider Identifier
1194306308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 047000
- Practice address
- Margaretville Hospital 42084 Route 28
Margaretville, NY 12455 - Phone
- (845) 586-2631
- NPI assigned
- Apr 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 047000 | NY | Primary |
Addresses
Primary practice location
Margaretville Hospital 42084 Route 28
Margaretville, NY 12455
Mailing address
Seco Physical Therapy 26 Conkey Ave
5TH Floor Suite 136
Norwich, NY 13815
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047000 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seco Physical & Occupational Therapy PLLC | Current | Accepting new patients |
Locations
26 Conkey Ave
Ste 136
Norwich, NY 13815
Phone (607) 334-5010
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Sidney, NY
- NPI 1992784797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618790400000",
"number": "1194306308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SECO PHYSICAL THERAPY 26 CONKEY AVE",
"address_2": "5TH FLOOR SUITE 136",
"city": "NORWICH",
"state": "NY",
"postal_code": "13815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MARGARETVILLE HOSPITAL 42084 ROUTE 28",
"city": "MARGARETVILLE",
"state": "NY",
"postal_code": "12455",
"telephone_number": "845-586-2631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUERGE",
"first_name": "KELLSEY",
"middle_name": "ANN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-19",
"last_updated": "2021-04-19",
"certification_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "047000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Margaretville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.